Health systems deploy an average of 57% of their clinical and administrative IS budget to Epic, leaving 43% for external software vendors. Beyond the Default EHR: How Health Tech Startups Win in an Epic-First EcosystemA primary research study from Redesign Health reveals how platform consolidation around Epic Systems is reshaping software procurement across health systems. The Epic-First BaselineThe study highlights a distinct shift toward core EHR platform consolidation:Platform Preference: 71% of respondents describe their organizations as “Epic-first,” prioritizing native Epic modules whenever possible. 91% of leaders express high confidence (60% “complete confidence,” 31% “significant confidence”) that Epic will execute its AI roadmap to match best-in-class external alternatives. Budget Allocation: Health systems allocate an average of 57% of their IS software budget to Epic and 43% to external vendors.